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Referral Clerk

Company: Florida Medical Clinic
Location: Zephyrhills
Posted on: January 15, 2022

Job Description:

Job Title: Referral ClerkDepartment: Internal MedicineReports to: Office SupervisorJob Summary: Processes managed care referral requests for the departmentWe offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

  • Gives you an employer that you will have pride in working for
  • Provides excellent training programs and opportunities for growth
  • Offers Medical Benefits including:
    • Employer Contributions to HSA high deductible plan
    • Discounts at our medical facilities
    • Cigna Open Access OAPIN & OAP plans
    • Supports Incentive based Wellness Programs
    • Offers company sponsored Life Insurance with buy-up provisions
    • Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
    • Supports Paid Time Off and Holidays
    • Gives generous 401K plan with annual 3% Employer contribution after one year of employment
    • Values and appreciates its employees
    • Boasts a reputation for superior health care and quality serviceEssential Functions of the Position:Prepares referrals and obtains authorizations for Managed Care patients per providerObtains approval from the provider for requested authorizations
      Schedules appointments
      Coordinates visits, pre-operative testing and surgical clearance
      Notifies patients of the appointments
      Forwards clinical data to the treating provider and/or facility
      Notifies specialist office and patient of denied requests for authorization
      Uses approved web tools to obtain authorizations
      Handles and returns referral related calls
      Coordinates DME and Home Health Care
      Coordinates admissions with providers and facilities
      Enters referral authorization information into Practice Management System
      Directs incoming faxes to correct staff members
      Addresses and handles all takes in a timely manner
      Enters referral information into the Practice Management System for referral tracking
      Notifies providers and staff of changes in the referral process or insurance requirements
      Inputs providers into the Practice Management System as needed
      Maintains appropriate logs required by Managed Care CarriersAdditional Responsibilities:
      • Maintains an organized and clean work area
      • Participates in maintenance of office supplies
      • Performs other incidental and related duties as required and assignedPhysical and Mental Demands:
        • Normal physical ability; able to sit for long periods
        • Normal concentration and normal complexity of decision making
        • High level verbal and written communication skills
        • Above average ability to manage multiple tasks simultaneouslyOccupational Exposure:
          • Low risk exposure to bloodborne pathogens and chemical hazardsJob Qualifications:
            • High school graduate or GED equivalent
            • Strong customer service orientation
            • Time management: the ability to organize and manage multiple priorities
            • Basic computer proficiency
            • Strong team playerWe are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status#IND123

Keywords: Florida Medical Clinic, Brandon , Referral Clerk, Other , Zephyrhills, Florida

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